Transcription of PRACTICE STANDARD Documentation, Revised 2008
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PRACTICE STANDARD Documentation, Revised 2008
PR ACTICE STANDARD . documentation , Revised 2008. Table of Contents Introduction 3. Why Document? 3. The Inter-relationships that support clients through documentation 5. STANDARD Statements and Indicators 6. Communication 6. Accountability 7. Security 8. Appendix A: Supporting documentation practices 9. Appendix B: nursing documentation Legislation References 10. Appendix C: Electronic documentation Resources 11. Suggested Reading List 11. VISION. Leading in regulatory excellence MISSION. Regulating nursing in the public interest documentation , Revised 2008 Pub. No. 41001. ISBN 978-1-77116-066-7. Copyright College of Nurses of Ontario, 2017.
health record. Documentation—whether paper, electronic, audio or visual— is used to monitor a client’s progress and communicate with other care providers. It also reflects the nursing care that is provided to a client. This practice standard explains the regulatory and legislative requirements for nursing documentation.
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